NPI | 1285712323 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 248277) |
Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: NY 248277) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2014-09-05 |